I had an uplift a year ago this October. Then had implant 4 months later. Had to have a revision as my implant on the left side had bottomed out. I am now 5 months down the line and it’s happened again. I’ve had a handful of days without my support bra due to what I’ve been wearing but apart from that I wear all day everyday. I will need another revision as when it drops it becomes achy and uncomfortable. Is there something that can be done so it doesn’t happen again
Answer: Revision I would suggest using mesh to reinforce the weak area of your lower breasts and to go with smaller implants that will not place as much weight on this weak area. Do not go larger.
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Answer: Revision I would suggest using mesh to reinforce the weak area of your lower breasts and to go with smaller implants that will not place as much weight on this weak area. Do not go larger.
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October 1, 2024
Answer: Bottoming out Hi, thanks for your question. Following a face to face assessment the options are likely to include: using an alternative type of implant to reduce the risk of recurrence, change the plane of the implant (from below the muscle to above the muscle, assuming the implant is below the muscle), tighten up the skin at the bottom of the breast using a ‘melon slice’ technique, or to use an ‘internal bra’ to support the weight of the implant. This can take the form of using your own tissues, or reinforcing your own tissues with an absorbable mesh. A combination of techniques is likely to be required. I would recommend consulting a plastic surgeon with a specialist interest in aesthetic breast surgery.
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October 1, 2024
Answer: Bottoming out Hi, thanks for your question. Following a face to face assessment the options are likely to include: using an alternative type of implant to reduce the risk of recurrence, change the plane of the implant (from below the muscle to above the muscle, assuming the implant is below the muscle), tighten up the skin at the bottom of the breast using a ‘melon slice’ technique, or to use an ‘internal bra’ to support the weight of the implant. This can take the form of using your own tissues, or reinforcing your own tissues with an absorbable mesh. A combination of techniques is likely to be required. I would recommend consulting a plastic surgeon with a specialist interest in aesthetic breast surgery.
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September 23, 2024
Answer: Bottoming out Hello,Recurrent “bottoming out” is often a combination of implant characteristics and poor soft tissue support. Larger, smooth implants are more likely to lead to implant malposition. In addition to changing the implant, you may want to ask your surgeon about utilizing either an absorbable mesh or an ADM to provide additional support. Good luck.
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September 23, 2024
Answer: Bottoming out Hello,Recurrent “bottoming out” is often a combination of implant characteristics and poor soft tissue support. Larger, smooth implants are more likely to lead to implant malposition. In addition to changing the implant, you may want to ask your surgeon about utilizing either an absorbable mesh or an ADM to provide additional support. Good luck.
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September 22, 2024
Answer: Bottoming out after breast lift I see you have what we call pseudoptosis on your left breast left greater than right. This is probably my most common problem after breast lifts, and it usually occurs over years but can occur faster. I will often suggest the use of mesh to help support the breast, and if the a patient is willing to go down in size that can be helpful.
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September 22, 2024
Answer: Bottoming out after breast lift I see you have what we call pseudoptosis on your left breast left greater than right. This is probably my most common problem after breast lifts, and it usually occurs over years but can occur faster. I will often suggest the use of mesh to help support the breast, and if the a patient is willing to go down in size that can be helpful.
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September 22, 2024
Answer: Bottoming out Many times, revision with a graft (like galaflex or Durasorb) can prevent bottoming out. However, I’ve seen cases where the muscle is either released too much or naturally “window-shades” over time. This means that the muscle has pulled upwards and created a tight band above your implant, so every time you use your arm it pushes down on the implant. In this case, the only way to get the correct implant position is to convert to a pocket above the muscle, which has its own drawbacks. I recommend asking your original surgeon about the technique used during your revision. If a graft has already been used, it’s more likely that won’t work.
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September 22, 2024
Answer: Bottoming out Many times, revision with a graft (like galaflex or Durasorb) can prevent bottoming out. However, I’ve seen cases where the muscle is either released too much or naturally “window-shades” over time. This means that the muscle has pulled upwards and created a tight band above your implant, so every time you use your arm it pushes down on the implant. In this case, the only way to get the correct implant position is to convert to a pocket above the muscle, which has its own drawbacks. I recommend asking your original surgeon about the technique used during your revision. If a graft has already been used, it’s more likely that won’t work.
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